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{
    "pk": 900,
    "title": "Point-of-care Echocardiogram as the Key to Rapid Diagnosis of a Unique Presentation of Dyspnea: A Case Report",
    "subtitle": null,
    "abstract": "Introduction: \nDyspnea is commonly evaluated in the emergency department (ED).The differential diagnosis is broad. Due to the large volume of dyspneic patients evaluated, emergency physicians (EP) will encounter uncommon diagnoses. Early, liberal application of point-of-care ultrasound (POCUS) may decrease diagnostic error and improve care for these patients.\nCase Report:\n We report a 48-year-old male presenting to the ED with cough and progressively worsening dyspnea for 11 months after multiple healthcare visits. Using POCUS, the EP was immediately able to diagnose a severe dilated cardiomyopathy (DCM) with left ventricular thrombus.\nConclusion:\n Given that non-ischemic DCM is one of the most common etiologies of heart failure, often presenting with respiratory symptoms, POCUS is key to rapid diagnosis and, along with modalities such as electrocardiography and chest radiograph, should be standard practice in the workup of dyspnea, regardless of age or comorbidities.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Point of Care Ultrasound"
        },
        {
            "word": "Dyspnea"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2fs497sr",
    "frozenauthors": [
        {
            "first_name": "Michael",
            "middle_name": "",
            "last_name": "Moore",
            "name_suffix": "",
            "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Brian",
            "middle_name": "",
            "last_name": "Dilcher",
            "name_suffix": "",
            "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Joseph",
            "middle_name": "",
            "last_name": "Minardi",
            "name_suffix": "",
            "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Kimberly",
            "middle_name": "",
            "last_name": "Quedado",
            "name_suffix": "",
            "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Erica",
            "middle_name": "",
            "last_name": "Shaver",
            "name_suffix": "",
            "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        }
    ],
    "date_submitted": "2020-07-31T14:03:51+08:00",
    "date_accepted": "2020-07-31T14:03:51+08:00",
    "date_published": "2020-08-02T01:08:56+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/900/galley/648/download/"
        }
    ]
}